HR 1 - JGLM Healing Room Application 2013

To open a JGLM Healing Room you must meet the following requirements:

1. Be a Certified DHT
2. Have been a Certified DHT for a minimum of 6 months
(two quarterly report periods)
3. Submit your application
4. Continued Monthly Partnering with JGLM

The IAC will review and contact you while considering your application for starting a Healing Room in your area.

John G. Lake Ministries
P.O. Box 742947
Dallas, TX 75374
888-293-6591
www.jglm.org

Name (Healing Room Director) First Last
Middle Initial
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Home Phone
Mobile Phone
Email
Other Email
Skype Username
Date of Certification as a DHT / MM / DD YYYY
Upload a copy of your CDHT Certificate
Please upload a photo that clearly shows your face (like a passport or driver's license photo would)
Are You a Monthly Pledge Partner of JGLM?
Yes No
Healing Room Name
Healing Room Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Have you been ordained by any organization?
Yes No
If yes, list name and location of that organization.
Please also list your Healing Room days and hours of operation here:
Best time of the day to be contacted by the IAC?
Morning Afternoon Evening
Please take note of the responsibilities of all Healing Room Directors.

All Healing Room Directors are responsible for mailing in or submitting online a Healing Room Monthly Report Form each month.
They shall email or mail a copy of their monthly report to their State Director.
All Healing Room Directors are required to attend JGLM Divine Healing Technician Training Seminars when meetings are being held in your area.
Periodically, a JGLM State/Regional Director may contact you to visit your Healing Room location. All Healing Room Directors are responsible to train or have trained Healing Room workers to work or volunteer in the Healing Room depending on the size of your Healing Room.
Please sign and date your application.
Name First Last
Date / MM / DD YYYY

HR 1 - JGLM Healing Room Application 2013

HR 1 - JGLM Healing Room Application 2013

Please take note of the responsibilities of all Healing Room Directors.

Please sign and date your application.